Individual
NATALIE L KNOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6561
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005563
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164.005563
LICENSE #
IL
Enumeration date
10/18/2012
Last updated
04/14/2020
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